The treatment of breast cancer includes the most important part of the operation, the vast majority of patients with chemotherapy, radiother
The treatment of breast cancer includes the most important part of the operation, the vast majority of patients with chemotherapy, radiotherapy, targeted therapy, endocrine therapy, because of the different types of patients with different choices. The whole treatment cycle to about half a year, or even longer. Some patients think: the operation finished, just fine; chemotherapy and radiotherapy are done, do not care. It should be noted that follow-up is of great significance and cannot be ignored.
Conquering breast cancer requires not only courage and confidence, but also the right strategy and the right follow-up guidelines. Surgery, radiotherapy and chemotherapy are short-term treatment, follow-up is the long-term health of patients with breast cancer. So it is not too late; reasonable follow-up, is a strong complement to treatment. Early careful monitoring, early detection of problems, then, their health, you can firmly grasp in their own hands.
A: the significance of follow-up
1 the follow-up process included the treatment process. After the surgery, the patient after a certain recovery, received the appropriate chemotherapy or radiotherapy. It is the doctor's decision whether or not these treatments are needed. Adjuvant chemotherapy often requires 4-6 months time, adjuvant radiotherapy need 1-2 months time. So, the follow-up of the first half of the year has a vital role in the implementation of the doctor's diagnosis and treatment. Some people say, so after the end of chemotherapy, not all right. Of course not, follow-up treatment according to the situation of patients with hormone receptor to decide, some patients have to take 5 years or even longer tamoxifen or aromatase inhibitors. It is obvious that the follow-up process includes the various stages of the treatment process.
2 early detection of ipsilateral and contralateral breast cancer. Breast cancer patients not only have the risk of recurrence of chest wall, but also have a higher incidence of contralateral breast cancer. Breast cancer patients with contralateral breast cancer chance is 2 - 11%. Although most of the chest wall and breast lumps can be checked out of their own physical examination, but still need a doctor's examination and diagnostic equipment. Follow up process is also a process of recurrence monitoring, directly related to their health.
3 monitoring of distant metastases and second cancer. Distant metastasis is the transfer of cancer cells to distant bone, liver, lung, lymph nodes and other organs and malignant proliferation. Regular follow-up, systemic examination is particularly important. Second cancer refers to other new cancers. This may be related to the patient itself, and may also be related to radiotherapy and chemotherapy. Although the opportunity is not very high, still have to be vigilant, early detection and early treatment.
4 significant medical progress. Cancer has not been conquered in the real sense, the need to constantly sum up experience, improve the diagnosis and treatment. By observing the changes of the patient's condition after the operation, the clinician can sum up the experience and provide reference and guidance for the future treatment of the disease. So, a follow-up of patients with the small, but provide valuable information for clinical epidemiological research, provides practical experience for clinical doctors; sum up the promotion, adjust the strategy, make patients benefit greatly, promote social progress in medical science.
Two: how to follow up?
Follow up: the first 2 years were followed up every 3 months. Followed up every 6 months for the next 3 years. 5 years later, once a year.
If time is tight, can be adjusted for 2 years before every 3-6 months follow-up time. 3 years after every 6-12 months follow-up time. 5 years later, once a year.
Follow up items: self checking: monthly breast, chest wall and axillary examination.
Mammography: once a year.
B (including breast, axillary, abdominal and gynecological examination): 3-6 months, determined by clinicians at each visit.
Recommended follow-up hospital: with the above inspection equipment, and has a professional knowledge of the hospital doctors.
Surgical treatment is an important part of the treatment of breast cancer, but not all of the treatment. The cure of cancer requires not only the doctor's professional surgery, chemotherapy, radiotherapy, but also depends on the patient's attention and vigilance of the disease, follow-up is to monitor the progress of the disease or not. However, not worry about personal gains and losses, followed with a very healthy feel alarmed, but the mentality to monitor problem and find out the problems facing and solving problems. It is necessary to have breast cancer patients. Through scientific and reasonable follow-up, get the necessary checks, timely treatment, firmly control their health!